(痫附 余论见风痫)
天柱、主卒暴痫眩。(千)攒竹、小海、后顶、强间、主痫发螈 狂走。商丘、主痫
丝竹空、通谷、主风痫癫疾。涎沫狂烦。金门、仆参、主癫疾马痫。(千)天井、小海
、主癫疾。羊痫吐舌。羊鸣戾颈。
悬厘、束骨、主癫疾互引。善惊羊鸣。筋缩、曲骨、阴谷、行间、主惊痫狂走癫疾。
列
缺、主热痫惊而有所见。水沟、治失笑无时。癫痫。语不识尊卑。(下经同。)乍喜乍哭。
牙关不开。(铜)心俞、治发痫悲泣。(见狂走。)筋缩、治惊痫。狂走癫疾。脊急强。目
转上垂。仆参、(见狂言。)金门、(见尸厥。)治癫痫。脊中、治风痫癫邪。神门、
治大小人五痫。金门、治小儿发痫。张口摇头。身反折。脊俞、疗风痫癫邪。(明)神
庭、疗肿气风痫癫风不识人。羊鸣。角弓反张。披发而上歌下哭。多学人语。惊悸不安寝。
肺俞、仆参、(见尸厥。)疗癫痫。少海、疗癫痫吐舌。沫出羊鸣。狂癫风痫吐舌。灸
胃管百壮。不针。仓公法、狂痫不识人。癫病眩乱。灸百会九壮。
难经疏云、狂病之候。不爱眠卧。不肯饮食。自言贤智。歌乐行走。此是阳气盛之所为
。故
经言重阳者狂。今世以此为癫病。谬矣。癫病发即僵仆倒地。故有癫蹶之言。阴气大盛。故
不得行立而倒也。今世以为痫病者。误也。其剖析癫狂之病。晓然如此。而人终不信。岂亦
传习之误。难以改欤。(重阴者癫。)
凡发狂则欲走。或自高贵称神圣。皆须备诸火灸之。乃得永瘥。悲泣呻吟。此则为邪、
非狂也。自根据邪方法治。(千)
天柱穴,主治突然发作的癫痫眩晕。(出自《千金方》)
攒竹穴、小海穴、后顶穴、强间穴,主治癫痫发作时肢体抽搐、狂乱奔走。
商丘穴,主治癫痫。
丝竹空穴、通谷穴,主治风痫癫疾,伴有痰涎涌出、狂躁烦乱。
金门穴、仆参穴,主治癫疾及马痫。(出自《千金方》)
天井穴、小海穴,主治癫疾;羊痫发作时吐舌、发出羊叫声并扭曲颈部。
悬厘穴、束骨穴,主治癫疾引起的身体互相牵引、易受惊吓、发出羊叫声。
筋缩穴、曲骨穴、阴谷穴、行间穴,主治惊痫、狂乱奔走及癫疾。
列缺穴,主治热痫,表现为受惊且出现幻觉。
水沟穴,治疗无定时发作的失笑症,以及癫痫,表现为言语不分尊卑长幼。(《下经》记载相同)
表现为时而喜悦时而哭泣,牙关紧闭无法张开。(出自《铜人腧穴针灸图经》)
心俞穴,治疗癫痫发作时的悲伤哭泣。(参见狂走症状)
筋缩穴,治疗惊痫、狂乱奔走及癫疾,伴有脊柱拘急僵硬、眼球上翻下垂。
仆参穴,(参见狂言症状)
金门穴,(参见尸厥症状),治疗癫痫。
脊中穴,治疗风痫及癫邪。
神门穴,治疗成人和儿童的各类癫痫。
金门穴,治疗小儿癫痫发作,表现为张口摇头、身体向后反折。
脊俞穴,治疗风痫及癫邪。(出自《明堂》)
神庭穴,治疗肿气引发的风痫、癫风,表现为不认识人、发出羊叫声、角弓反张、披头散发、边唱边哭、模仿他人说话、惊恐心悸不安难以入睡。
肺俞穴、仆参穴,(参见尸厥症状),治疗癫痫。
少海穴,治疗癫痫吐舌、口沫流出、发出羊叫声、狂癫风痫吐舌。
灸胃管穴一百壮,不可针刺。
仓公法:治疗狂痫不识人、癫病眩晕混乱,灸百会穴九壮。
《难经疏》说:狂病的症状,是不爱睡觉躺卧,不肯进食,自称贤能智慧,唱歌快乐行走。这是阳气过盛所致。所以经文说“重阳者狂”。现在世人将此称为癫病,是错误的。
癫病发作时就会僵直仆倒在地,所以有“癫蹶”的说法。这是阴气大盛,所以不能站立行走而倒下。现在世人将其认为是痫病,也是错误的。对于癫病和狂病的辨析,如此清晰明白,但人们始终不信。这难道也是传承学习的错误,难以改正吗?(重阴者癫。)
凡是发作狂症想要奔跑,或者自认为高贵称神圣,都必须准备各种火灸疗法,才能彻底痊愈。如果是悲伤哭泣呻吟,这属于邪气侵扰,不是狂症。应当根据治疗邪气的方法进行处理。(出自《千金方》)
(Appendix on Epilepsy, for the remaining discussion see the section on Wind Epilepsy)
Tianzhu (BL10) governs sudden onset of epilepsy and dizziness. (From *Qianjin Fang*)
Cuanzhu (BL2), Xiaohai (SI8), Houding (GV19), Qiangjian (GV20) govern epilepsy attacks with convulsions and manic running.
Shangqiu (SP5) governs epilepsy.
Sizhukong (SJ23), Tonggu (BL64) govern wind epilepsy and mania, accompanied by salivation, manic agitation, and restlessness.
Jinmen (BL63), Puxcan (BL60) govern mania and horse epilepsy. (From *Qianjin Fang*)
Tianjing (TE10), Xiaohai (SI8) govern mania; in sheep epilepsy, the tongue protrudes, a bleating sound is made, and the neck twists.
Xuanli (GB5), Shugu (BL65) govern mania causing mutual pulling of limbs, susceptibility to fright, and bleating sounds.
Jinsuo (GV22), Qugu (RN2), YinGu (KI10), Xingjian (LR2) govern fright epilepsy, manic running, and mania.
Lieque (LU7) governs heat epilepsy characterized by fright and visual hallucinations.
Shuigou (GV26) treats sporadic laughter without cause, epilepsy, and speech lacking respect for hierarchy. (*Xia Jing* records the same).
Manifestations include alternating joy and crying, and locked jaw. (From *Tongren Shuxue Zhenjiu Tujing*)
Xinshu (BL15) treats epilepsy with sadness and weeping. (See manic running symptoms).
Jinsuo (GV22) treats fright epilepsy, manic running, and mania, accompanied by spinal stiffness, upward deviation of the eyes.
Puxcan (BL60), (see manic speech symptoms).
Jinmen (BL63), (see corpse-like coma symptoms), treats epilepsy.
Jizhong (GV12) treats wind epilepsy and evil influences of mania.
Shenmen (HT7) treats five types of epilepsy in adults and children.
Jinmen (BL63) treats pediatric epilepsy onset, characterized by gaping mouth, head shaking, and opisthotonos.
Jishu (BL12) treats wind epilepsy and evil influences of mania. (From *Mingtang*)
Shenting (GV24) treats wind epilepsy and mania caused by swelling qi, characterized by not recognizing people, bleating sounds, opisthotonos, disheveled hair, singing while crying, mimicking others' speech, palpitations, anxiety, and insomnia.
Feishu (BL13), Puxcan (BL60), (see corpse-like coma symptoms), treat epilepsy.
Shaohai (HT3) treats epilepsy with tongue protrusion, foaming at the mouth, bleating sounds, manic epilepsy with tongue protrusion.
Moxibustion on Weiguan (CV12) 100 moxa cones; do not needle.
Method of Cang Gong: Treats manic epilepsy with loss of recognition, and mania with dizziness and confusion; moxibustion on Baihui (GV20) 9 cones.
*Nan Jing Shu* states: The symptoms of mania include unwillingness to sleep or lie down, refusal to eat, claiming to be wise and virtuous, singing, laughing, and walking around. This is caused by an excess of Yang Qi. Hence, the classics state "Double Yang leads to mania." Modern people mistakenly call this condition mania (dianbing); this is incorrect.
Mania (dianbing) involves stiffening and falling to the ground upon onset, hence the term "dian jue" (manic collapse). This is due to a massive excess of Yin Qi, rendering the patient unable to stand or walk, leading to collapse. Modern people mistakenly identify this as epilepsy; this is also incorrect. The distinction between mania and epilepsy is clear as described above, yet people remain unconvinced. Is this perhaps due to errors in transmission and learning that are difficult to correct? ("Double Yin leads to mania/dian.")
Whenever mania manifests with a desire to run, or self-proclaimed nobility and divinity, various forms of fire moxibustion must be prepared to achieve permanent cure. Sadness, weeping, and groaning indicate pathogenic evil influence, not mania. One should treat according to methods for dispelling evil. (From *Qianjin Fang*)